Bracelets Form - Who Is NOBODY? - Change starts with kids

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Braceletswhoisnobody_e1lupj2018-03-24T04:07:32+00:00

FREE “I’M SOMEBODY” Bracelets

Participating Who Is NOBODY?™, Que est PERSONNE?™ and Who Is GREEN?™ teachers receive I’M SOMEBODY bracelets by filling in the form below.

Name *

First

Last

School + School Board *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Number of Bracelets Required *

Complete the form below:

While time, material and funding donations are all amazing and equal, it is important we tally the funds donated.

If a student has collected funds, please include the total collected in the space provided.

Thank you!

*Looking at your Presentation Profile makes this EASY to fill-in

**Consider asking an older student or parent volunteer to fill-in

Class Project (Action)

Who Class helped (Name of Organization/Description of Cause) & funds donated

Students

What student 1 did (Action) *

Who student 1 helped (Name of Organization/Description of Cause) & funds donated *

What student 2 did (Action) *

Who student 2 helped (Name of Organization/Description of Cause) & funds donated *

What student 3 did (Action)

Who student 3 helped (Name of Organization/Description of Cause) & funds donated

FEEDBACK: 4 Quick Questions

CONSTRUCTIVE CRITICISM: One thing that would make the program easier

CONSTRUCTIVE CRITICISM: Least favorite part of program:

Favourite part of program:

Biggest POSITIVE change you saw in your students:

Upload a photo of SOMEBODY

* If you do NOT have one handy, please send one as an attachment to: photo@whoisnobody.com

Don't forget to highlight your class with media coverage for your FREE Top-Up Kit!

Name

Title